Individual
RICHARD F LOCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13801 BRUCE B DOWNS BLVD, SUITE 502, TAMPA, FL 33613-3946
(813) 971-9743
(813) 558-9421
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME19662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067830900
—
FL
01
—
29721A
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/14/2005
Last updated
03/22/2021
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